Homestead_Deputy (5)INDIANA SALES DISCLOSURE FORM SDF ID 26- 2009 - 1000368 hA Pane 2
.PREPARER
J. ROBERT KINKLE HALL, PARTENHEIMER & KINKLE
ATTORNEY
Prepare afro Sales Durl n-, Form
Toll
59 N. HART ST., PO BOX 13
HALL, PARTENHEIMER & KINKLE
ddre (Vrmikr and $: rceq
E -mail
SELLER(S) /GRANTOR(S) -
JERRY M. MAXAM
MARILYN L. MAXAM
Setts -An,., as orppears on,onreranre davm,m
Srtler - Abna at apprors on too o.,, document
11105 E. LINCOLN HEIGHTS RD.
11105 E. LINCOLN HEIGHTS RD.
Addmss r.V..kr and Sweet)
Address (Nuotber and Streer)
OAKLAND CITY, IN 47660
OAKLAND CITY, IN 47660
T,1,phonr:Ftanba E-mail
Teirphonedumber E -mail
nder penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and
omplete as required by law, and is prepared in accordance with IC
6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
rc of Se er
Signumrr ofSel /er
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Psintxl A'mne ofSellzr Sign Date,3IV- 'DD1YT 171
F.BUYER(S)/GRA,NTEE(S) _ APPLICATION'FOR'DEDUCTIONS AND CREDITS - IDENTIFY ALL.ITEMS THAT APPLY ;
BRANDONL.DEPUTY
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8. C, - A'amt as r,rea on compsnnce docum,ol
12 S. WATKINS
Add ess pV..tw trod Streer)
Address (Nmnber and StrceO
FRANCISCO, IN 47649
Telephone Noober E -nmil
HE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS
FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT
F L Will this prop", be the buyers primary residence? Provide complete
r 3. Homestead
address of primary residence, including county:
r 4. Solar Energy Heating /Cooling System
11105 E. LINCOLN HEIGHTS RD.
r S. Wind Power Device
Aadrrss t-V4mrkr and SrreeQ
OAKLAND CITY, IN 47560 Gibwn
r 6. Hydroelectric Power Device
Cm, -Pau•, nudZIP Code Co,m/r
r 7. Geothermal Energy Heating /Cooling Device
F- 2. Does the buyer have a homestead to be vacated for this residence? If
r S. Is this property a residential rental property9
ves, provide complete address of residence vacating. including county :
r 9. Would you like to recieve tax statements for this property via
e- mail.? (Provide contact infornmtion below. Please ere the
instructions for more inIbrintnion.:Voi available in all counties.)
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('im. Sme. and LP Code ('ovnty
P,imarp propem• oxner roman nnm, F- -mail
Under penalties of perjury, I hereby certify that this Sales Disclosure, tote best of my knowledge and belief, Is true, correct and complete as
required by law, and is prepared in accordance with IC 6- LI -55, "Real Property
Sales Disclosure Act ". (Note: Spouse Information, Social Security
and Driver's License/other numbers are not necessary if no Homestead Deduction is being filed.)
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Signature ol8y,r
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